| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.40 | $119.10 | $218.02 | |
Aetna
| Professional | $60.95 | $69.30 | $162.19 | |
BCBS
| Facility | $87.55 | $91.43 | $147.55 | |
BCBS
| Professional | $55.75 | $55.75 | $162.91 | |
Cigna
| Facility | $173.63 | $173.63 | $305.23 | |
Cigna
| Professional | $55.94 | $107.27 | $242.65 | |
United
| Professional | $31.22 | $59.55 | $143.93 |